Male Infertility A child of my own - Andrology Australia

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APPENDICESMEDICINES &OTHER DRUGSRemember to tellyour doctor if youare taking anymedicinesor have receivedany medicaltreatment thatmay have affectedyour fertilityIt is highly recommended that men producesemen samples (through masturbation) for spermstorage. Sperm storage must take place beforechemotherapy starts. Semen can be frozen andstored long-term for future use. If men wantchildren at a later stage, the frozen semen is thawedand used in fertility treatments such as IVF.[See section: ‘Having a Family’ for more information]How is infertility caused by medicines treated?Some medicines can leave men permanently sterileand there are no treatments that will start spermproduction again. Other medicines only have ashort term effect on sperm production. Once thesemedicines are stopped, sperm production shouldreturn. However, because sperm take a long timeto develop, it may take six to 12 months for spermcounts to reach normal levels.Cancer specialists sometimes recommend thatcouples wait for six to 12 months after certainmedicines have been taken before trying to becomepregnant to make sure that possible pregnancyproblems and fetal abnormalities are avoided.MALE INFERTILITY 100
APPENDICESRADIATIONHow does radiation affect sperm production?Radiation treatment for testicular or other cancersnear the testes can damage the testis, leavingpermanent problems with sperm production.Radiation therapy is designed to attack and destroyrapidly dividing cells, so the lining of the spermproducingtubes in the testis can easily be damaged.During radiotherapy, a healthy testis is protectedfrom the x-rays but some exposure may happenand sometimes lowers sperm counts. This can betemporary or permanent.What treatment is recommended for men whoare having radiation therapy for cancer?All men who are about to have radiotherapyshould discuss the effects of their treatment ontheir fertility with their doctors. Semen samplesshould be collected and frozen at a fertility clinicwith liquid nitrogen storage facilities, beforeradiation treatment starts. Semen can be storedlong-term for future use. If men want children ata later stage, the frozen semen can be thawed andused in fertility treatments such as IVF.[See section: ‘Having a Family’ for more information]MALE INFERTILITY 101
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MALEINFERTILITYA CHILD OF MY OWNA B
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MALE INFERTILITYInfertility - Not j
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MALEREPRODUCTIONWhat are sperm?Sper
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Before birth, the developing testes
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Cross-section of sperm-producing tu
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The levels of FSH and LH in the blo
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Where can sperm production go wrong
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SIGNS &SYMPTOMSWhat is male inferti
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CAUSESWhat are the known causes of
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Sperm productionproblemsBlockage of
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DIAGNOSISHow is male infertility di
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Ultrasound may be used if the teste
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SpermnumbersLow orzeroLow orzeroLow
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Another blood test which can be don
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What if no cause is found?For most
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temporarily lower a sperm count for
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using methods approved by the World
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TREATMENTCan male infertility be tr
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Treatable causes of male infertilit
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What about assisted reproductive te
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not affecting sperm production or t
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ecome pregnant avoid exposure to an
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HAVINGA FAMILYWhat are the chances
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very low sperm counts who previousl
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What issues need to be thought abou
Page 51 and 52: Childhood developmentLarge studies
Page 53 and 54: Chances of finding sperm are low fo
Page 55 and 56: Semen collectionFor most types of I
Page 57 and 58: What are the success rates with ART
Page 59 and 60: Adoption of babies and children fro
Page 61 and 62: Most men also feel the need to unde
Page 63 and 64: attention is paid to the infertile
Page 65 and 66: APPENDICESMALE INFERTILITY 63
Page 67 and 68: What are the risks of hormonal trea
Page 69 and 70: Most men with Klinefelter’s syndr
Page 71 and 72: What are other considerations for m
Page 73 and 74: Even when this problem is surgicall
Page 75 and 76: How do sexually transmitted infecti
Page 77 and 78: APPENDICESTORSION OF THE TESTISWhat
Page 79 and 80: APPENDICESHEATHow does temperature
Page 81 and 82: APPENDICESVARICOCELEWhat is a varic
Page 83 and 84: APPENDICESSPERM ANTIBODIESWhat are
Page 85 and 86: What are the risks of medicine trea
Page 87 and 88: Alternatively, sperm can be collect
Page 89 and 90: APPENDICESABSENCE OF VAS DEFERENSWh
Page 91 and 92: APPENDICESERECTION &EJACULATION PRO
Page 93 and 94: What are the risks with erectiledys
Page 95 and 96: What are the risks of ejaculation t
Page 97 and 98: How does chemotherapy affect fertil
Page 99 and 100: Where can sperm be stored?Sperm is
Page 101: Environmental and chemical agents,
Page 105 and 106: SUPPORTThis booklet gives informati
Page 107 and 108: Websites of relevanceAccessAustrali
Page 109 and 110: chromosomes Structures in each cell
Page 111 and 112: oligozoospermia (or oligospermia) A
Page 113 and 114: spermaturia Spermaturia is the rele
Page 115 and 116: AUTHORSProfessor Robert McLachlanMM
Page 117 and 118: Assisted reproductive technologies
Page 119 and 120: 7Halliday, JL, Ukoumunne OC, Baker
Page 121: Postal address:Andrology AustraliaM
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Male Infertility A child of my own - Andrology Australia

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